Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.72 / $399.30 / $1,723.72	Facility		$159.72	$399.30	$1,723.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $235.05 / $286.27	Professional		$159.72	$235.05	$286.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.57 / $664.00 / $1,380.89	Facility		$294.57	$664.00	$1,380.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.75 / $311.62 / $635.78	Professional		$169.75	$311.62	$635.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $316.42 / $436.96	Professional		$210.95	$316.42	$436.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.74 / $165.74 / $165.74	Facility		$165.74	$165.74	$165.74
United Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $180.81 / $301.35	Professional		$120.54	$180.81	$301.35